Provider Demographics
NPI:1518777101
Name:KADAM, ASHNA (OTR/L, CHT)
Entity type:Individual
Prefix:
First Name:ASHNA
Middle Name:
Last Name:KADAM
Suffix:
Gender:F
Credentials:OTR/L, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3082 SE GALT CIR
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34984-6346
Mailing Address - Country:US
Mailing Address - Phone:772-812-9773
Mailing Address - Fax:
Practice Address - Street 1:1100 MAIN ST STE 190
Practice Address - Street 2:
Practice Address - City:WOODLAND
Practice Address - State:CA
Practice Address - Zip Code:95695-3515
Practice Address - Country:US
Practice Address - Phone:530-662-2835
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-07
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand